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MARY DODGE MFT
NPI 1366672800
Marriage & Family Therapist in Seattle, WA

Active since July 17, 2009Opted out of Medicare · through Mar 13, 2028
4138 CALIFORNIA AVE SW STE C, SEATTLE, WA 98116(206) 696-8088 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Dodge Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DODGE MFT (NPI 1366672800) is an individual marriage & family therapist in Seattle, Washington, licensed in Washington (LF 60039669) and active in the NPI registry since July 2009. She has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1366672800
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY DODGECredential: MFT
Location Address4138 CALIFORNIA AVE SW STE CSeattle, WA 98116-4928
Mailing Address5436 41st Ave SwSeattle, WA 98136-1505 · (206) 696-8088
Phone(206) 696-8088
Sole ProprietorYes
Enumeration DateJuly 17, 2009
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1366672800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · LF 60039669
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4138 CALIFORNIA AVE SW STE C, Seattle, WA 98116
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mary Dodge Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dodge's NPI number?

The NPI number for Mary Dodge is 1366672800. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Mary Dodge located?

Mary Dodge practices at 4138 California Ave SW Ste C, Seattle, WA 98116. The listed phone number is (206) 696-8088.

What is Mary Dodge's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Dodge enrolled in Medicare?

No. Mary Dodge has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Dodge was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.